Arteriyel Psödoanevrizmalar; Literatür Taraması

Özet Psödoanevrizmalar, arteriyel duvardaki bozulma nedeniyle kanın arter lümeninin dışına çıkarak oluşturduğu ve aynı zamanda lümen ile iletişim halinde olduğu lokalize pulsatil kitlesel yapılardır. Arteriyel yapılara ait olan üçlü tabakadan (intima, media, adventisya) oluşmadığı için gerçek arteriyel anevrizmadan bu yönü ile ayrılıp, “yalancı anevrizma”, “false anevrizma” gibi terimler de isimlendirme amacıyla kullanılabilir. En sık nedenler travma, enfeksiyonlar, uyuşturucu bağımlılığı ve iyatrojenik nedenlerdir. Günümüzde kardiovasküler alanda tanı ve tedavi amacıyla yapılan girişimlerin önemli oranda artması iyatrojenik nedenleri giderek ön plana çıkarmaktadır. İyatrojenik femoral arter psödoanevrizması (İFAP), tanı veya tedavi amacıyla girişim yapılan ve femoral arter erişimi kullanılan hastalarda işlem sonrası görülen önemli bir komplikasyondur. Günümüzde İFAP’ların tedavisi için her geçen gün daha az invaziv ve daha fazla başarı oranına sahip yeni tedaviler geliştirilmektedir. Bu derleme ile biz hem tanı hem de tedavi rehberlerinden bahsederken aynı zamanda İFAP gelişimini önlemek ve buna yönelik yeni stratejiler geliştirmeye yönelik farkındalığı arttırmayı amaçladık.

Anahtar Kelimeler:

n-butil-siyanoakrilat, psödoanevrizma, trombin

Arterial Pseudoaneurysm: Review of Literature

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